WSO2Con2024 - Navigating the Digital Landscape: Transforming Healthcare with an Internal Developer Platform

WSO2Con2024 - Navigating the Digital Landscape: Transforming Healthcare with an Internal Developer Platform

1. 1Copyright © 2023 ZeOmega. All rights reserved.
Navigating the Digital Landscape
Transforming Healthcare Data
with an Internal Developer
Platform
WSO2 Conference May 7-9 | Hollywood, FL, USA

2. 2Copyright © 2023 ZeOmega. All rights reserved.
About Me
Britto Arul , Head of Interoperability Engineering, Zeomega
Twenty-five years of experience in Healthcare Information
technology
Have been part of Healthcare Digital transformation Journey since
1999

3. 3Copyright © 2023 ZeOmega. All rights reserved. © 2014 Confidential
About Zeomega
Founded in 2001
Headquarters in Frisco,
Texas, USA
To empower healthcare
organizations with
innovative population
health management
solutions.
Core Product
•Jiva: Integrated population health
management platform
Key Features
•Care Management, Utilization
Management ..etc
•Data aggregation ,analytics
•Patient engagement
Technology
•Python, SQL Server, zope5
•API Gateway : WSO2 API Manager
•Developer Portal : WSO2 Choreo

4. 4Copyright © 2023 ZeOmega. All rights reserved.
HealthUnity Interoperability Platform
▪20+ years providing UM/PA workflow automation solutions for 40+
payers nationwide (ZeOmega Jiva)
▪10+ years providing Health Information Exchange solutions for
regional provider networks
Payer &
Provider
Experience
Industry-Aligned
▪Founding member of HL7 DaVinci Project
▪Compliance solutions for CMS-9115, CMS-0057, ONC 21
st
Century Cures Act
Vendor Agnostic▪HealthUnity™ interoperability platform connects PA ecosystem vendors
(EMR, UM, CDS, etc.) using composable architecture, combines support
for both standards-based and proprietary APIs
is a comprehensive interoperability platform from ZeOmega purpose-built
for advancing payer-provider collaboration and value-based care

5. 5Copyright © 2023 ZeOmega. All rights reserved.
Topic today
Navigating the Digital Landscape
Transforming Healthcare Data with an Internal Developer
Platform

6. 6Copyright © 2023 ZeOmega. All rights reserved.
Digital Landscape in US Healthcare
Early Adoption of
Electronic Health
Records (EHRs)
(1960s-2000s):
Rise of Health
Information Technology
(HIT) Initiatives
(2000s-2010s):
Focus on
Interoperability and
Data Exchange
(2010s-Present):

7. 7Copyright © 2023 ZeOmega. All rights reserved.
Healthcare Data transformation
Paper-Based Records Era (Pre
20th Century
Emergence of Electronic Health Records
(EHRs)
1960s-1990s
Adoption of Health Information Systems
2000s
Standardization and Interoperability Efforts
2010s

8. 8Copyright © 2023 ZeOmega. All rights reserved.
Types of Data
•Structured Data
•Unstructured Data
•Semi-structured Data
Sources of Data
•Electronic Health Records
•Claims Data
•Medical Images
•Clinical trials
•Patient Generated Data
Uses of Data
•Population Health
Management
•Healthcare
Administration
•Clinical Decision Making
•Clinical Quality Measures
•Research and Analytics
Understanding Healthcare Data
Data Privacy and SecurityInteroperability Data Quality

9. 9Copyright © 2023 ZeOmega. All rights reserved.
•Data Aggregation
•Procure meaningful data (Claims, Administrative, Financial, Clinical) from disparate sources and use data to drive actions
•large catalog of “Open APIs”

•Link data from disparate sources
•Enterprise Master Patient Index (EMPI)

•Bi-directional standards-based data exchange
•HL7 V2, CCDA
•X12 270/271 (Eligibility), x12 834 (Enrollments), x12 278 (Authorization) , x12 835(Remittance), x12 837 (Claims), x12 275(attachments)
•FHIR (Fast Healthcare Interoperability Resources)

•Industry standard integration modalities
•Delimited flat files, XML files, batch loads, web service APIs
•REST and SOAP, XML/JSON payloads


Integration Strategy

10. 10Copyright © 2023 ZeOmega. All rights reserved.
Provider
to
Provider
Provider
to Payer
Payer to
Provider
Patient
access
exchanges
Types of Data
transformation/Exchanges

11. 11Copyright © 2023 ZeOmega. All rights reserved.
Improved Care Coordination
Enhanced Patient Engagement
Efficiency and Cost Savings
Benefits of Data Exchanges

12. 12Copyright © 2023 ZeOmega. All rights reserved.
Healthcare Interoperability Challenges
Lack of
Standardization
Data Security
and Privacy
Concerns
Siloed Data
Resistance to
Change
Data Quality
and Integrity

13. 13Copyright © 2023 ZeOmega. All rights reserved.
Batch
•Efficient for processing large volumes of data.
•Reduced strain on network resources since data transfers are
less frequent.
•Easier to manage and schedule processing tasks.
•Delayed data availability
Realtime
•Enables quick decision-making and interventions, leading to
improved patient care outcomes.
•Supports real-time monitoring of patient conditions and alerts
for critical events.
•Facilitates seamless integration with decision support systems
and clinical workflows.
•Increased demands on network bandwidth
Data exchange Mode

14. 14Copyright © 2023 ZeOmega. All rights reserved.
The problem statement in healthcare data exchange revolves around
the efficient and secure transfer of patient information among various
healthcare entities such as hospitals, clinics, laboratories, pharmacies,
and insurance companies. Key issues include:


Problem Statement
Interoperability
•Different healthcare systems often use different formats and
standards for storing and exchanging data, leading to
interoperability challenges
Standardization
•Lack of standardized data formats and protocols
complicates data exchange processes. Establishing common
standards for data elements, vocabularies, and messaging
formats can facilitate smoother interoperability and reduce
integration costs.

15. 15Copyright © 2023 ZeOmega. All rights reserved.
•Addressing these challenges requires collaboration among
healthcare stakeholders, including providers, payers, regulators,
technology vendors, and standards development organizations
•It also requires leveraging emerging technologies such as
interoperability standards (e.g., HL7 FHIR), blockchain, and artificial
intelligence to streamline data exchange processes while ensuring
security and compliance with privacy regulations.
Technology solutions
Integrated
Developer
platform
unified developer
environment

16. 16Copyright © 2023 ZeOmega. All rights reserved.
•Addressing Interoperability Challenges
•Comprehensive ecosystems that bring together developers, data
scientists, and healthcare stakeholders to collaborate on data
transformation initiatives.
•a unified environment with tools, APIs (Application Programming
Interfaces), data resources, and developer-friendly features to streamline
the development and deployment of healthcare applications and solutions.
•Streamlining Data Integration and Analytics
•Collaboration and Communication
•Easier Onboarding
•Scalability and Flexibility
•Ensuring Regulatory Compliance and Data Governance
•Support for Modern Development Practices (Devops, CI/CD..etc)
Integrated Developer Platform

17. 17Copyright © 2023 ZeOmega. All rights reserved.
Discoverability Documentation & SDKs
Interactive API Console Sandbox Environment

Developer Portal
Developer Portal

18. 18Copyright © 2023 ZeOmega. All rights reserved.
Customized UI

19. 19Copyright © 2023 ZeOmega. All rights reserved.
API Listing

20. 20Copyright © 2023 ZeOmega. All rights reserved.
API Interactive

21. 21Copyright © 2023 ZeOmega. All rights reserved.
API Usage Insights

22. 22Copyright © 2023 ZeOmega. All rights reserved.
Envisioning the Evolution of Healthcare
Interoperability in the Digital Age
•Expansion of Interoperability Standards
•API-Based Ecosystems
•Patient-Centric Data Exchange
•Data Privacy and Security
•AI and Analytics
•Health Information Exchanges (HIEs)
•Partnerships and Collaboration

23. 23Copyright © 2023 ZeOmega. All rights reserved.
Q&A

24. 24Copyright © 2023 ZeOmega. All rights reserved.
Thank You

6200 Tennyson Parkway, Suite 200
Plano, TX 75024 USA

Phone: [phone]
ZeOmega.com